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In the Clinic |

Influenza

Margaret Trexler Hessen, MD
Ann Intern Med. 2007;147(7):ITC10-1. doi:10.7326/0003-4819-147-7-200710020-01010
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Recent vaccine shortages, reports of human infection caused by avian strains, and the specter of pandemic disease have kept influenza in the public eye over the past few years. Even during a typical influenza season, the impact on public health, though less heralded, is significant. Influenza and its complications cause approximately 36 000 deaths and 226 000 hospitalizations per year (1). Safe, cost-effective vaccines are available but have been underutilized by both the public and health care workers because of widespread misconceptions about both the disease and the vaccines. Antiviral prophylaxis is an effective alternative for persons in whom vaccination is contraindicated. Early treatment of infection reduces the duration of illness, but the medications are expensive. Limiting social interaction and, in institutional settings, using droplet precautions and cohorting infected patients may help to curb an outbreak.

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